Terry E Ham Jr. (NPI# 1306891650, PAC ID# 5092764761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1306891650 |
| PAC ID by PECOS | 5092764761 |
| Professional Enrollment ID | I20050120000081 |
| Full Name | Terry E Ham Jr. |
| Organization Legal Name | CORNERSTONE MEDICAL ASSOC., LLC |
| Address |
1023 Keith Dr Perry GA 31069-2948 |
| Phone Number | 4789881100 |
| Gender | M |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446145007 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110153 | PERRY HOSPITAL |
| 110069 | HOUSTON MEDICAL CENTER |
| 110135 | TAYLOR REGIONAL HOSPITAL |
| 111310 | MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH |
| 110104 | CRISP REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 7707400895 | 24 ON PHYSICIANS PC |
| 1023 Keith Dr, Perry, GA 31069-2948 | 4789881100 | CORNERSTONE MEDICAL ASSOC., LLC |
| 1120 Morningside Dr, Perry, GA 31069-2906 | 4789873600 | HOUSTON HOSPITALS INC |
| 1120 Morningside Dr, Perry, GA 31069-2906 | 4783224946 | 24 ON PHYSICIANS PC |
| 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 4789531800 | CORNERSTONE MEDICAL ASSOC., LLC |
| 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 | 4783221113 | CORNERSTONE MEDICAL ASSOC., LLC |
| Organization Legal Name | CORNERSTONE MEDICAL ASSOC., LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Belflower | Nurse Practitioner | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Crystal Roberts | Nurse Practitioner | Cornerstone Medical Assoc., LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Gerald K Brantley | Internal Medicine | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Christine Abel | Nurse Practitioner | Cornerstone Medical Assoc., LLC | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 |
| Titus A Taube | Family Medicine | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Sallyanne Pyle | Psychiatry | Cornerstone Medical Assoc., LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Richard Ellis | Psychiatry | Cornerstone Medical Assoc., LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Christopher Pyle | Clinical Social Worker | Cornerstone Medical Assoc., LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Judith Bonderia Lilley | Clinical Social Worker | Cornerstone Medical Assoc., LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Street Address |
1023 KEITH DR |
| City | PERRY |
| State | GA |
| Zip | 31069-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Belflower | Nurse Practitioner | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Gerald K Brantley | Internal Medicine | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Titus A Taube | Family Medicine | Cornerstone Medical Assoc., LLC | 1023 Keith Dr, Perry, GA 31069-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Summerow | Optometry | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | |
| Erin Tapley Burch | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Judith F Donnan | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Rhonda L Thompson | Optometry | Myeyedr Optometry of Georgia, LLC | 1601 Macon Rd, Perry, GA 31069-2208 |
| Spencer D Shugart | Physical Therapy | 1202 Macon Rd, Perry, GA 31069-2613 | |
| Jackson Craig Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Shaun Nicholas Price | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Spencer Cory Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Sarvepall D Jokhai | Podiatry | Foot and Ankle Center of Middle Georgia, LLC | 1040 Morningside Dr, Perry, GA 31069-2904 |
| Jennifer L Johnson | Nurse Practitioner | N.t. Cardiovascular Center | 1117 Morningside Dr, Perry, GA 31069-2905 |
| Find all physicians in zip 31069 | |||
| City | PERRY |
| Zip Code | 31069 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PERRY + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.